Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avenue Medical Wellness PC

Organization Family Medicine Physician · NPI 1033885199

Avenue Medical Wellness PC is a Family Medicine Physician in New York, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 5th Ave Rm 603
New York, NY 10017-8009
Phone: (310) 614-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1033885199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bojana Weatherly — Owner · (310) 614-3697
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address535 5th Ave Rm 603, New York, NY 10017-8009

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